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NSAIDs and GI Bleeds – 3 High Risk Case Scenarios I’ve Seen in Practice

NSAIDs and GI Bleeds – 3 High Risk Case Scenarios I’ve Seen in Practice

by Eric Christianson | May 27, 2026 | Gastrointestinal Case Studies

NSAIDs are a notorious cause of GI bleeds. This is something that I am significantly concerned about as a geriatric consultant pharmacist. In this blog post, I share 3 examples of NSAIDs causing GI bleeds that I have seen in practice. Scenario 1 – Duplicate...
Bowel Regimens – Curbing Polypharmacy

Bowel Regimens – Curbing Polypharmacy

by Eric Christianson | Apr 22, 2026 | Gastrointestinal Case Studies

One of the most common (and easily fixable) medication mismatches I see in practice involves bowel regimens that outlive their original purpose. This is a great example of how deprescribing can reduce pill burden and prevent unnecessary adverse effects. Bowel Regimens...
Senna and Questran – A Pet Peeve

Senna and Questran – A Pet Peeve

by Eric Christianson | Jul 23, 2025 | Gastrointestinal Case Studies

I think I’ve seen this scenario play out more times than I would like. A patient is prescribed both a laxative, Senna, and Questran (cholestyramine), a medication used to manage diarrhea symptoms. This example of the prescribing cascade often presents slowly...
Deprescribing in Cirrhosis – Case Study

Deprescribing in Cirrhosis – Case Study

by Eric Christianson | Mar 5, 2025 | Gastrointestinal Case Studies

JD is a 58-year-old male with a history of cirrhosis due to alcohol-related liver disease. He has no medication allergies and is taking the following medications: Lactulose 30 mL twice daily, Spironolactone 100 mg daily, Furosemide 40 mg daily, Propranolol 20 mg twice...
Diarrhea Problems – Case Study

Diarrhea Problems – Case Study

by Eric Christianson | Sep 1, 2024 | Gastrointestinal Case Studies

A 76-year-old male has a past medical history of hypertension, diarrhea, mild cognitive impairment, diabetes, osteoarthritis, and gout. He has had a concern that has been ongoing for about 3 months with the symptoms recently escalating over the last 1-2 weeks....
Constipation Polypharmacy

Constipation Polypharmacy

by Eric Christianson | Jul 3, 2024 | Gastrointestinal Case Studies

JE is a 77-year-old male. He reports significant constipation despite the use of three laxative medications. In this case summary, I will outline the most important medications that can contribute to constipation polypharmacy. Past medical history includes:...
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Subscribe to the Blog!

Enjoy the blog?  Over 6,000 pharmacy loving folks follow the blog, why aren't you? Subscribe now and get a free gift as well!

Recent Posts

  • Adding Iron Creates More Fatigue – Case Scenario
  • Refusing Evening Advair – Case Scenario
  • Weight Loss Medications – Practice Pearls
  • NSAIDs and GI Bleeds – 3 High Risk Case Scenarios I’ve Seen in Practice
  • Paroxetine Clinical Pearls

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